Progress on scaling up towards universal access in West and Central Africa October 2006
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1 Progress on scaling up towards universal access in West and Central Africa October 2006 For all enquiries, please contact Dr Grunitzky Bekele, Regional Director for West and Central Africa, at
2 Progress towards universal access in West and Central Africa Number of countries (total 25) Mar-06 Oct-06 0 Consultations held Targets set-up Roadmap developed Work plan costed
3 Progress towards universal access in West and Central Africa Annual work plans costed: 6 Roadmap developed: 13 (6+7) Targets set-up: 17 (13+4) Benin, Burkina-Faso, Burundi, Cameroun, Ghana, Nigeria Chad, Cote d Ivoire, Congo-DRC, Mali, Mauritania, Senegal, Sierra Leone Cape Verde, Central African Republic, Gabon, Togo National consultations held: 20 (17+3) Congo-Brazzaville, Guinea, The Gambia National consultations in progress/ planned: 5 Guinea-Bissau, Equatorial Guinea, Liberia, Niger, Sao Tome & Principe
4 Universal access in West and Central Africa Senegal Gambia Guinea Bissau Sierra Leone Mauritania Guinea Liberia Mali Burkina Faso Benin Togo Côte d Ivoire Ghana Niger Chad Nigeria Central African Republic Cameroon N = 25 Equatorial Guinea Sao Tome & Principe Gabon Congo Democratic Republic of Congo Burundi Universal access targets endorsed (N = 16) Universal access targets set, but not endorsed (N = 1) Universal access targets not drafted (N = 8)
5 Civil society participation in universal access in West and Central Africa Senegal Gambia Guinea Bissau Sierra Leone Mauritania Guinea Liberia Mali Burkina Faso Benin Togo Côte d Ivoire Ghana Niger Chad Nigeria Central African Republic Cameroon Equatorial Guinea Sao Tome & Principe Gabon Congo Democratic Republic of Congo Burundi N = 25 Established consultative process (N = 20) Have not yet established consultative process (N = 5)
6 % of HIV positive pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of mother to child transmission 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% B e n in C a m e r o u n C o n g o - B r a z a G a b o n D R C o n g o M a li S é n é g a l
7 Percentage of women, men and children with advanced HIV infection who are receiving antiretroviral treatment 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% % 10.0% 0.0% Benin Burkina faso Chad DR Congo Gabon Ghana Mali Senegal Sierra Leone Togo
8 Civil society involvement At country level Civil society involvement varies by country, but level of involvement and variety of organisations are increasing over time At continental/global level Considerable civil society involvement in regional consultations and global follow-up (Brazzaville Consultation, Abuja Heads of State Meeting, African delegation at 2006 High Level Meeting New York)
9 Support provided by UNAIDS Regional Support Team Overall: Facilitation of national consultations and target setting process through regular teleconference calls with UNAIDS Country Coordinators, Theme Group Chair and National AIDS Commission Facilitation of continental consultations on universal access (Brazzaville Consultation, Abuja Heads of State Meeting) Support to and active involvement in the development of a common African position on scaling up towards universal access in preparation of the 2006 High level Meeting, New York Continuously monitoring of quality and analysis of collected data on universal access in the region
10 Support provided by UNAIDS Regional Support Team (continued) To civil society: UNAIDS Regional Support Team advocated through UNAIDS Country Officer and National AIDS Commission for active involvement of civil society in the national consultation and target setting process Regional Support Team gave extensive technical and financial support to civil society to participate in the formulation of a common African position on scaling up towards universal access for the 2006 High Level Meeting, New York
11 Lessons learned The process of national consultations and roadmap development: facilitates consensus building among partners about how to scale up towards universal access creates a renewed interest in intensifying prevention interventions in order to sustain treatment efforts countries that hold national consultations as a separate process -not linked to the review of the National Strategic Framework - have difficulties in target setting developing realistic costed annual work plans to scale up towards universal access seems the most difficult step
12 Lessons learned (cont) The data collection process highlighted: unequal quality of data in/between countries reliable baseline data sometimes missing existing data not easily accessible (no national database) calculation of core and recommended indicators problematic due to denominator data not easily available
13 Recommendations Promote full integration of the scaling up towards universal access and joint reviews of the National Strategic Framework Further support countries to develop one monitoring and evaluation system, including a common national database Build capacity for developing costed work plans Continue to advocate for meaningful civil society participation
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